Rachael Considine, LMHC

Rachael Considine is a licensed mental health counselor in New York who helps people manage stress, anxiety, depression, and trauma. She also supports clients facing grief, parenting challenges, sleep difficulties, anger, and life transitions. Rachael works with concerns related to ADHD, relationship strain, and issues tied to gender and sexual identity, including gender dysphoria and LGBT matters.

Rachael believes each person knows their own story and brings strengths to the room. She offers a supportive, respectful space where people can name their goals and try small, practical steps toward change. Sessions focus on clear, doable strategies rather than lengthy theory.

Her approach blends cognitive behavioral therapy with client-centered and mindfulness methods. That means she helps people notice unhelpful thoughts, practice different behaviors, and develop present-moment awareness. Motivational interviewing and narrative therapy also inform her work when people want to explore values or reshape how they tell their story.

In sessions, Rachael emphasizes collaboration and practical skills. She guides people through short-term tools for coping and longer-term planning when challenges run deep. Conversations aim to feel direct but compassionate, with homework or experiments when useful.

Rachael has six years of professional experience as an LMHC, working with a range of concerns in New York. She speaks English and frames progress in everyday terms so people can apply new habits between sessions.

Therapeutic approaches for online care

Rachael commonly uses cognitive behavioral therapy to help people identify and change unhelpful thoughts and behaviors. CBT can be useful for anxiety, depression, sleep problems, and OCD-type worries by breaking problems into manageable steps and testing new actions. She also uses client-centered therapy, which emphasizes listening, empathy, and following the person’s priorities so they feel heard and can decide what to try next.

Mindfulness therapy is another approach she brings into sessions to help with stress and emotional regulation. Simple practices train attention and reduce reactivity so people can respond rather than react during stressful moments. Together these approaches give both concrete tools and space to process what’s happening in life, and the therapist works collaboratively to find what fits a person’s goals and style.

Online delivery makes it easier to fit therapy into busy lives. Video calls let people meet face to face; phone sessions are a lower-bandwidth option for quick check-ins; live chat and text-based messaging allow short exchanges and ongoing support between appointments. These formats offer flexibility so therapeutic work can continue around work, family, and everyday routines.